F745 in Pennsylvania. Pick another state for the same tag.
Against expectation — 2025
Pennsylvania cites F745 more often than its own record predicts
Versus expected share1.47×
1.47 times the share F745 takes of citations nationally.
Share of Pennsylvania citations0.26%
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F745.
Pennsylvania0.26%
National0.17%
Share of all citations that were F745.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F745 findings written in Pennsylvania, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
K · Immediate jeopardy, patternFebruary 2, 2024
Based on facility policy review, job description review, staff and resident interviews, and clinical record review, it was determined that the facility failed to implement post-discharge needs, including therapy services, nursing services, and medical equipment. This failure resulted in a lack of post-discharge services provided in the community for seven out of 15 discharged residents reviewed (Residents 1, 2, 4, 6, 10, 12, and 15) and placed current residents with active discharge plans in an immediate jeopardy situation (Residents 16-20). …
Based on review of the clinical record, court documents, and resident, Ombudsman, and staff interviews, it was determined that the facility failed to provide medically-related social services to maintain the psychosocial needs, resulting in psychosocial harm for one of three residents (Resident R1).
Findings include:
A review of the Resident Assessment Instrument 3.0 User's Manual effective October 2019, indicated that a Brief Interview for Mental Status (BIMS, a screening test that aides in detecting cognitive impairment). …
E · No harm, potential for more than minimal, patternJune 5, 2026
Based on review of facility policy, job descriptions, clinical record review, and staff interview, it was determined that the facility failed to provide sufficient and timely social services for three of four residents reviewed (Residents R10, R15, and R17).
Findings include:
Review of the Social Work Director job description indicated the purpose of this position is to coordinate internal and external social services counseling and education services.
Review of the Psychiatric Mental Health Nurse Practitioner (PMHNP/CRNP) job description indicated the PMHNP provides comprehensive mental health care needs to residents across the care continuum. …
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